institution
Source Surgery Center Llc
Ambulatory Surgical Clinic/Center in Santa Monica, California
NPI 1558802249

Source Surgery Center Llc is an Ambulatory Surgical Clinic/Center based in Santa Monica, CA and is specialized in Ambulatory Surgical. Source Surgery Center Llc practices in Santa Monica, CA. The NPI Number for Source Surgery Center Llc is 1558802249 and holds a License No. (California).

The current practice location address for Source Surgery Center Llc is 2801 Wilshire Blvd, Santa Monica, CA and can be reached out via phone at 310-574-2777 and via fax at 310-315-4968.

Location: 2801 Wilshire Blvd, Santa Monica, CA, 90403-1652
institution
Provider Profile Details
NPI Number
1558802249
Provider Name
Source Surgery Center Llc
Credential
Provider Entity Type
Organization
Address
2801 Wilshire Blvd, Santa Monica, CA, 90403-1652
Phone Number
310-574-2777
Fax Number
310-315-4968
Provider Enumeration Date
03/14/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2801 Wilshire Blvd
City
State
Zip
90403-4801
Phone Number
310-574-2777
Fax Number
310-315-4968
person
Provider Business Mailing Address Details
Address
2801 Wilshire Blvd
City
State
Zip
90403-4801
Phone Number
310-574-2777
Fax Number
310-315-4968
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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